Korean J Gastrointest Endosc.  1997 Feb;17(1):93-98.

Biliary Tract & Pancreas; A Case of Hilar Cholangiocarcinoma Combined with Carcinoma of the Ampulla of Vater

• Kim MY
• Han JH
• Ha SC
• Kim DW
• Jeon SK
• Park JK
• Doo CJ
• Byun JH
• Suh GJ

Abstract

Hepatie hilar ductal carcinoma is relatively rare, but the prognosis is known to be poor because an early diagnosis is difficult. Because the majority of patients are already infiltrated into adjacent organ by itself at the diagnosis, the rate of resectability is low. The best method of treatment is curative resection, and the range of tumor invasion is very important. The preoperative diagnosis is difficult because the cholangiography may be normal in cases of superficial invasion. Multifocal lesions within the biliary tract may be identified in as many as 10 percent of patients, Especially, the papillary type has the best prognosis and is associated with multiple tumors within the bile duct. We report a case that percutaneous transhepatic cholangiogram showed normal distal common bile duct, but the hepatic hilar confluence and ampulla of Vater lesion was confirmed as adenocarcinoma.

Keyword

Hilar cholangiocarcinoma; Ampulla of vater; Multiple tumor

MeSH Terms

Adenocarcinoma
Ampulla of Vater*
Bile Ducts
Biliary Tract*
Carcinoma, Ductal
Cholangiocarcinoma*
Cholangiography
Common Bile Duct
Diagnosis
Early Diagnosis
Humans
Pancreas*
Prognosis